Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy
Cardiovascular disease is the leading indirect cause of maternal mortality in the UK. Pregnancy increases the risk of acute MI (AMI) by three- to fourfold secondary to the profound physiological changes that place an extra burden on the cardiovascular system. AMI is not always recognised in pregnanc...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Radcliffe Medical Media
2020-05-01
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| Series: | Interventional Cardiology: Reviews, Research, Resources |
| Online Access: | https://www.icrjournal.com/articleindex/icr.2020.02 |
| _version_ | 1826933285213700096 |
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| author | Phyo Htet Khaing Gill Louise Buchanan Vijay Kunadian |
| author_facet | Phyo Htet Khaing Gill Louise Buchanan Vijay Kunadian |
| author_sort | Phyo Htet Khaing |
| collection | DOAJ |
| description | Cardiovascular disease is the leading indirect cause of maternal mortality in the UK. Pregnancy increases the risk of acute MI (AMI) by three- to fourfold secondary to the profound physiological changes that place an extra burden on the cardiovascular system. AMI is not always recognised in pregnancy and there is concern among both clinicians and patients regarding catheter-based interventions due to fears of foetal irradiation and risks to the foetus. This article evaluates the current state of knowledge on AMI in pregnancy with particular emphasis on pregnancy-associated spontaneous coronary artery dissection and percutaneous coronary intervention as the revascularisation procedure for AMI. Special considerations that must be made in patients requiring percutaneous coronary intervention for pregnancy-associated spontaneous coronary artery dissection and the current recommendations on arterial access, methods of minimising radiation and stent selection are discussed. |
| first_indexed | 2024-03-07T17:41:28Z |
| format | Article |
| id | doaj.art-e657317ae2fa45b483f813b1703e9d87 |
| institution | Directory Open Access Journal |
| issn | 1756-1477 1756-1485 |
| language | English |
| last_indexed | 2025-02-17T17:29:42Z |
| publishDate | 2020-05-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Interventional Cardiology: Reviews, Research, Resources |
| spelling | doaj.art-e657317ae2fa45b483f813b1703e9d872024-12-14T16:02:07ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852020-05-011510.15420/icr.2020.02Diagnostic Angiograms and Percutaneous Coronary Interventions in PregnancyPhyo Htet Khaing0Gill Louise Buchanan1Vijay Kunadian2Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKNorth Cumbria Integrated Care NHS Foundation Trust, Cumbria, UKTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK; Cardiothoracic Centre, Freeman Hospital, Newcastle Upon Tyne, UKCardiovascular disease is the leading indirect cause of maternal mortality in the UK. Pregnancy increases the risk of acute MI (AMI) by three- to fourfold secondary to the profound physiological changes that place an extra burden on the cardiovascular system. AMI is not always recognised in pregnancy and there is concern among both clinicians and patients regarding catheter-based interventions due to fears of foetal irradiation and risks to the foetus. This article evaluates the current state of knowledge on AMI in pregnancy with particular emphasis on pregnancy-associated spontaneous coronary artery dissection and percutaneous coronary intervention as the revascularisation procedure for AMI. Special considerations that must be made in patients requiring percutaneous coronary intervention for pregnancy-associated spontaneous coronary artery dissection and the current recommendations on arterial access, methods of minimising radiation and stent selection are discussed.https://www.icrjournal.com/articleindex/icr.2020.02 |
| spellingShingle | Phyo Htet Khaing Gill Louise Buchanan Vijay Kunadian Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy Interventional Cardiology: Reviews, Research, Resources |
| title | Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy |
| title_full | Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy |
| title_fullStr | Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy |
| title_full_unstemmed | Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy |
| title_short | Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy |
| title_sort | diagnostic angiograms and percutaneous coronary interventions in pregnancy |
| url | https://www.icrjournal.com/articleindex/icr.2020.02 |
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